Asbestos inspection form, 40 Fulton Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1075(0 18 Premise Address: 4D

Block: 7 Residential 0 Commercial Name of Building: Lot: Mix Use J Other # of Stories: 3.'I AKA's: Building Owner/Management Telephone Number. (2/2-) 2..6q .g Name: FAX: Address: On Site Contact: A -"t - & 4. Name: ' QS t N Telephone Number: ( Building Owner Management Activities Interior Survey Performed ® Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up BYes ❑ No Locations: vet-R.0 S ACM Clean Up ❑ Yes [RNo Locations: Air Monitoring ®•Yes ❑ No Locations: I NT P o,- Copies of All Reports and Data Requested Yes

visual inspection Results: Facade: Inspected Debris North N/A JYes ❑ No (J'No Visible/Fine Layer ❑ / to 1" ❑ > 1" South N/A ®'Yes ❑ No 1No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A [Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Z Yes ❑ No No Visible/Fine Layer ❑ / to 1" ❑ > 1" Facade Description: ;6Q&&V6 C-i /1A/

Roof 3' "- 3"L - Debris: JgNo Visible /Fine Layer Q % to 1" ❑ > 1" Description:

b< Setbacks N/A ❑ 3D O ' Floor: a Debris: E3 No Visible/Fineaye. ❑ / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" n>

1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer . ❑ Yz to 1" 0> 1" Comments

Date: / t; /2002 Inspection Team: Name: R• fWMfrOi, '9w/ Agency: ,')G-P. Name: Agency:

NYC-WTC 000129216